R TRACY WILLIAMS JR OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926267

License Status

CANCELLED

Business

First Name

Middle

TRACY

Last Name

WILLIAMS

Suffix

JR OD

Business Name

R TRACY WILLIAMS JR OD

Original Issue Date

06/18/1999

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010